AI Article Synopsis
- The patient, a 64-year-old man, had multiple serious heart conditions including aortic regurgitation and aneurysms in both the aorta and abdomen.
- He underwent several surgeries simultaneously: aortic valve replacement, coronary artery bypass grafting, and total aortic arch replacement using the elephant trunk technique.
- Although he experienced complications like cardiac tamponade and neurological issues afterward, surgery to remove a blockage in the vertebral artery led to improvement in his symptoms, showing that revascularization can help stroke recovery after heart surgery.
Article Abstract
The patient was a 64-year-old man who had aortic regurgitation, ischemic heart disease, a transverse aortic aneurysm, and an abdominal-common iliac aneurysm. Concomitant operations including aortic valve replacement, coronary artery bypass grafting, and total aortic arch replacement with elephant trunk technique were performed successfully. The patient developed postoperative cardiac tamponade on the 5th postoperative day, resulting in bulbar palsy due to occlusion of the dominant left vertebral artery. Thrombectomy of the vertebral artery with reconstruction by a saphenous vein was performed. The patient's neurological symptoms improved after the operation. Revascularization of ischemic stroke may yield neurological improvement even in patients after cardiovascular surgery.
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| http://dx.doi.org/10.1007/s11748-019-01106-6 | DOI Listing |
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